Récurrence d’un kyste abdominal de liquide céphalo-rachidien chez un adolescent de 14ans porteur d’un drain ventriculo-péritonéal

Laurent, Pauline; Hennecker, J.-L.; Schillaci, Alberto; Scordidis, V.

doi:10.1016/j.arcped.2014.05.019

Cited by 2 publications

(5 citation statements)

References 9 publications

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“…The recurrence of APC is not necessarily uncommon, with the incidence in the literature varying widely from 7.1% to 62.5%. [712] What is unique in this case is that recurrence led to a second VP shunt malfunction and infection. It was our initial management decision to attempt a ventriculopleural shunt after 3 sets of negative CSF cultures, however, the patient was adamant that he wanted another attempt at placement of a peritoneal catheter despite being informed of the risks of another recurrence.…”

Section: Discussionmentioning

confidence: 97%

Abdominal pseudocyst as a complication of ventriculoperitoneal shunt placement: Review of the literature and a proposed algorithm for treatment using 4 illustrative cases

Kashyap¹,

Ghanchi²,

Minasian³

et al. 2017

Surg Neurol Int

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Background:Ventriculoperitoneal (VP) shunt placement is one of the most commonly performed procedures in neurosurgery. One rare complication is the formation of an abdominal pseudocyst, which can cause shunt malfunction.Case Descriptions:We present four unique cases of abdominal pseudocyst formation. Our first patient initially presented with a right upper quadrant pseudocyst. Shunt was externalized and the distal end was revised with placement of catheter on the opposite side. He developed another pseudocyst within 5 months of shunt revision and developed another shunt failure. Our second patient had a history of shunt revisions and a known pseudocyst, presented with small bowel obstruction, and underwent laparotomy for the lysis of adhesions with improvement in his symptoms. After multiple readmissions for the same problem, it was thought that the pseudocyst was causing gastric outlet obstruction and his VP shunt was converted into a ventriculopleural shunt followed by percutaneous drainage of his pseudocyst. Our third patient developed hydrocephalus secondary to cryptococcal meningitis. He developed abdominal pain secondary to an abdominal pseudocyst, which was drained percutaneously with relief of symptoms. The fourth patient had a history of multiple shunt revisions and a previous percutaneous pseudocyst drainage that recurred with cellulitis and abscess secondary to hardware infection.Conclusion:Abdominal pseudocysts are a rare but important complication of VP shunt placement. Treatment depends on etiology, patient presentation, and clinical manifestations. Techniques for revision include distal repositioning of peritoneal catheter, revision of catheter into pleural space or right atrium, or removal of the shunt completely.

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Section: Discussionmentioning

confidence: 97%

Abdominal pseudocyst as a complication of ventriculoperitoneal shunt placement: Review of the literature and a proposed algorithm for treatment using 4 illustrative cases

Kashyap¹,

Ghanchi²,

Minasian³

et al. 2017

Surg Neurol Int

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“…Abdominal CSF pseudocyst is a rare complication of VPS. It should be suspected in any patient who develops abdominal symptoms after placement of a VPS [3]. Many hypotheses on the cause have been reported, such as the possibility of an allergic reaction of the peritoneum to components of the shunt system, a peritoneal inflammatory reaction caused by an unidentified protein fraction in the CSF, or by a high concentration of proteins in the peritoneal cavity, a decreased absorption capacity of the peritoneum, and a history of device revision, abdominal surgery or intercurrent infections [1] [5].…”

Section: Discussionmentioning

confidence: 99%

“…Laparotomy or laparoscopic surgery can be performed, but laparotomy is preferred to laparoscopic surgery in case of recurrence or history of abdominal surgery [3]. The surgical treatment modalities include drainage of the cyst, repositioning the peritoneal end of the drainage device, and resection of the walls of the pseudocyst [9].…”

Section: Discussionmentioning

confidence: 99%

“…In our cases, resection of the pseudocyst by laparotomy with repositioning of the distal catheter was performed in our two patients. Several cases of pseudocyst recurrence have been described, and the possibility of untreated or poorly treated infection has been suggested as the etiology [3]. For some authors, the displacement of the peritoneal catheter in the abdomen could lead to the recurrence of an abdominal pseudocyst [11].…”

Section: Discussionmentioning

confidence: 99%

“…For some authors, the displacement of the peritoneal catheter in the abdomen could lead to the recurrence of an abdominal pseudocyst [11]. This explains why some authors propose reimplanting the drain in the atrium, the pleural cavity, or the gall bladder [3].…”

Section: Discussionmentioning

confidence: 99%

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Abdominal Cerebrospinal Fluid Pseudocyst—A Rare Complication of Ventriculoperitoneal Shunt

Seck¹,

Wellé²,

Dieng³

et al. 2023

OJMN

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An abdominal cerebrospinal fluid pseudocyst is a rare complication of ventriculoperitoneal shunt. Several theories have been suggested to explain its occurrence. The main symptoms are painful abdominal distension and vomiting, abdominal distension on examination, as abdominal ultrasound and computed tomography confirm its diagnosis. The treatment involves drainage associated with drain relocation and resection of the pseudocyst's wall. We report two patients diagnosed with this condition who underwent surgical treatment. The first patient had an unremarkable 12-month follow-up, while the second died on the seventh postoperative day due to intravascular disseminated coagulation. In these patients, the cause has not been identified; however, an infection cannot be ruled out.

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Récurrence d’un kyste abdominal de liquide céphalo-rachidien chez un adolescent de 14ans porteur d’un drain ventriculo-péritonéal

Cited by 2 publications

References 9 publications

Abdominal pseudocyst as a complication of ventriculoperitoneal shunt placement: Review of the literature and a proposed algorithm for treatment using 4 illustrative cases

Abdominal pseudocyst as a complication of ventriculoperitoneal shunt placement: Review of the literature and a proposed algorithm for treatment using 4 illustrative cases

Abdominal Cerebrospinal Fluid Pseudocyst—A Rare Complication of Ventriculoperitoneal Shunt

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